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Housing Opportunities for People with AIDS 14.241 HOPWA <br /> (NOT ELIGIBLE) Description of Areas Affected by HOPWA Project(s) <br /> $HOPWA Grant Amount $Additional HUD Grant(s)Leveraged$HOPWA Grant Amount <br /> $Additional Federal Funds Leveraged $Additional State Funds Leveraged <br /> $Locally Leveraged Funds $Grantee Funds Leveraged <br /> $Anticipated Program Income Other(Describe) <br /> Total Funds Leveraged for HOPWA-based Project(s) <br /> Emergency Shelter Grants Program 14.231 ESG <br /> (NOT ELIGIBLE) <br /> $Additional HUD Grant(s)Leveraged <br /> 9 <br /> $Additional Federal Funds Leveraged $Additional State Funds Leveraged <br /> $Locally Leveraged Funds $Grantee Funds Leveraged <br /> $Anticipated Program Income Other(Describe) <br /> Congressional Districts of: Is application subject to review by state Executive Order <br /> 10 10 12372 Process? <br /> Is the applicant delinquent on any federal debt? If ❑Yes This application was made available to the <br /> "Yes"please include an additional document state EO 12372 process for review on DATE <br /> explaining the situation. ® No Program is not covered by EO 12372 <br /> ❑Yes ®No ❑ N/A Program has not been selected by the state <br /> for review <br /> Person to be contacted regarding this application <br /> Scott F. Erickson <br /> Housing Specialist 925-931-5007 925-931-5485 <br /> serickson @cityofpleasantonca.gov http://www.ci.pleasanton.ca.us/community/'0 <br /> grants/cdbg-grants.html <br /> Signature of Authorized Representative 5/7/2014 <br /> Steven Bocian.Assistant City Manager <br /> SF 424 Page 2 Version 2.0 <br />